Opioid Treatment for Individuals with Co-occurring Chronic Non-malignant Pain and Addiction

chronic non-malignent pain (CNMP);pain management;opioids;addiction;opioid addiction;School of Health Professions and Studies: Health Education

Brown, JoyceFlint ;

University of Michigan

关键词: chronic non-malignent pain (CNMP);    pain management;    opioids;    addiction;    opioid addiction;    School of Health Professions and Studies: Health Education;   

Others  :  https://deepblue.lib.umich.edu/bitstream/handle/2027.42/117986/BrownJ.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

Chronic non-malignant pain (CNMP) is a major health problem in the United States. When coupled with addiction, under-treatment of this pain often occurs. Health professionals hesitate to prescribe opioids for pain management in patients with co-occumng CNMP and addiction, based on the belief that such treatment may increase the risk of relapse. In the State of Michigan, the Health Professional Recovery Committee (HPRC) created an innovative approach to this problem through the development of a pain management program for licensed health professionals with co-occurring CNMP and addiction. This retrospective case-control study compared relapse episodes between participants in the pain management program (n=27) and those who also have an addiction but do not suffer from CNMP (n=54). The purpose of this research project was to determine the relationship between opioid treatment for CNMP and rate of relapse. From these data, an effort can be made to educate those who currently treat individuals with CNMP. Results from this research indicate there is no significant difference in total relapse episodes between the two groups (t=.519; df=.79; p=.605). In conclusion, these findings suggest that physicians should consider using opioid treatment as a pain management technique in patients with co-occurring CNMP and addiction without fear of an increase in relapse episodes.